• 作者：Guillaume Boll&eacute ; e^a ; Bruno Moulin^b ; Frank Martinez^c ; Quentin Meulders^d ; Jean-Philippe Rougier^e ; Alain Baumelou^f ; Denis Glotz^g ; Jean-Franç ; ois Subra^h ; Tim Ulinskiⁱ ; Laurence Vrigneaud^j ; Jos&eacute ; Brasseur^k ; Martine Alhenc-Gelas^l ; Laurent Martin^m ; Laurent Danielⁿ ; Olivier Kourilsky^o ; Patrice Deteix^p ; Pierre Sie^q ; Pierre Ronco^e ; Pascal Houillier^r ; ^{pascal.houillier@egp.ap-hop.fr}
• 关键词：Biopsie r&eacute ; nale ; Proc&eacute ; dure ; Enquê ; te
• 刊名：N&eacute ; phrologie Th&eacute ; rapeutique
• 出版年：2012
• 期刊代码：227_17697255
• 类别：med
• 出版时间：June, 2012
• 卷：8
• 期：3
• 页码：168-176
• 文件大小：456 K

Background

Although several risk factors associated with complications after renal biopsy (RB) have been identified, recommendations for RB procedures are still lacking. Our working group, appointed by the scientific commission of the Soci茅t茅 de n茅phrologie in France, aimed to depict the main aspects of the practice of RB in adults in France, before establishing some guidelines.

Methods

Members of the Soci茅t茅 de n茅phrologie in France were asked to participate to a questionnaire survey on RB procedures.

Results

Eighty-eight nephrologists from 74 units (27 in teaching hospitals, 35 in public general hospitals, and 12 in private centers) participated in our study. Native kidney and graft biopsies were performed in 73 and 35 units, respectively. RB activity was highly variable among units, ranging from several hundred to less than ten per year. Transjugular RB was judged to be smoothly accessible in 28 out of 73 units (38.4%). Significant variations in practices were observed regarding patient information before RB, assessment of hemorrhagic risk factors, care of patients with antiplatelet agents and hemorrhagic risk factors, and radiological guidance. Early discharge (< 12 hours) was the rule in three (4.1%) units for native kidney biopsies and in ten (28.6%) units for graft biopsies.

Conclusions

Our study is the first to provide a representative picture of 鈥渆veryday鈥?RB practices in a country. Consensual recommendations on all points mentioned are provided here.